Individual
ERICA BAZYDLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 10TH ST, PORT HURON, MI 48060-4477
(800) 395-3223
(833) 329-6632
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
(833) 329-6632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704306320
MI
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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